Berry, Donald Blake

Berry, Donald Blake is an individual health care provider with primary practice located at 176 Thomas Johnson Dr Suite 204, Frederick MD 21702-4410. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Berry, Donald Blake can be contacted via phone (301) 620-4100.

Contact Information

Primary practice address
176 Thomas Johnson Dr Suite 204 Frederick MD 21702-4410
Phone: (301) 620-4100
Fax: (301) 620-1407
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X S01420 Maryland

Profile Details

NPI number 1952382004
LBN Legal business name Berry, Donald Blake
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Mar 27th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952382004 NPPES
Maryland Other KP25BE CAREFIRST BCBS MARYLAND
Maryland Other W375-0001 CAREFIRST BCBS MARYLAND
Maryland Other 3831919 CAREFIRST BCBS MARYLAND
Maryland Other 223239 CAREFIRST BCBS MARYLAND

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